Organization Active NPI

Southwest Nassau Radiology, PC

  • Diagnostic Radiology Physician
  • Valley Stream, NY
National Provider Identifier
1285924514
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
168462 Issued in NY
Legal business name
SOUTHWEST NASSAU RADIOLOGY, PC
Practice address
147 E Merrick Rd
Valley Stream, NY 11580-5981
Phone
(516) 825-6500
Fax
(516) 825-0493
NPI assigned
Apr 7, 2011
Last updated
Apr 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. John Himelfarb, M.D.NPI 1750352274
Title
Radiologist
Phone
(516) 825-6500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 168462 NY Primary

Addresses

Primary practice location

147 E Merrick Rd
Valley Stream, NY 11580-5981

Mailing address

147 E Merrick Road
Valley Stream, NY 11580-5981
Phone (516) 825-6500

National Provider Directory

National Provider Directory

Locations

147 E Merrick Rd
Valley Stream, NY 11580
Phone (516) 825-6500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1285924514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 E MERRICK ROAD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805981",
            "telephone_number": "516-825-6500",
            "fax_number": "516-825-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 E MERRICK RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805981",
            "telephone_number": "516-825-6500",
            "fax_number": "516-825-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST NASSAU RADIOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-07",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "HIMELFARB",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "RADIOLOGIST",
        "authorized_official_telephone_number": "516-825-6500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "168462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.